<div class="row  mt-5">
    <div class="col-lg-12">
        <section class="panel bg-white">
            <header class="panel-heading">填写退货物流</header>
            <div class="panel-body mt-3">

                <form action="#" class="layui-form">

                    <div class="form-group row canday-row">
                        <label class="col-sm-2 col-form-label">物流方式</label>
                        <div class="col-sm-10">
                            <input type="text" class="form-control" placeholder="请填写物流公司" maxlength="15" id="logistics-company-input" name="company_name"
                                required>
                            <div class="invalid-feedback" id="company-input-invalid">
                            </div>
                        </div>
                    </div>
                    <div class="form-group row canday-row">
                        <label class="col-sm-2 col-form-label">物流单号</label>
                        <div class="col-sm-10">
                            <input type="text" class="form-control" id="logistics-num-input" placeholder="请填写物流单号" maxlength="20" name="logistics_code"
                                required>
                            <div class="invalid-feedback" id="number-input-invalid"></div>
                        </div>
                    </div>

                    <div class="form-group row canday-row">
                        <label class="col-sm-2 col-form-label">手机号码</label>
                        <div class="col-sm-10">
                            <input type="text" class="form-control" id="logistics-phone-input" placeholder="请填写手机号码便于卖家联系您" maxlength="80" name="contact_phone"
                                required>
                            <div class="invalid-feedback" id="phone-input-invalid"></div>
                        </div>
                    </div>

                    <div class="form-group row canday-row">
                        <label class="col-sm-2 col-form-label">备注信息</label>
                        <div class="col-sm-10">
                            <textarea type="text" class="form-control" id="logistics-msg-input" name="remark" placeholder="最多可填写300个字" maxlength="300"
                                rows="3" style="resize:none" required></textarea>
                                <div class="invalid-feedback" id="msg-input-invalid"></div>
                        </div>
                    </div>

                    <input type="submit" id="logi-submit" class="send-button btn-style bcat_defaul_backgroundcolor btn ml-3 confirm" lay-submit
                        lay-filter="logistics-submit" value="提交" />
                </form>
            </div>
        </section>
    </div>

</div>